Times available to work each day

Referral Source

Personal References

List two personal references not related to you and not employed by Splash Car Wash

Name

Relationship

Email Address

Phone

Name

Relationship

Email Address

Phone

Education

Highest grade completed

Name of last school attended:

Employment History (Most recent or current employer)

Employer

Name of Supervisor

Employer Address

Employer City

Phone

Employment Period

Type of Work Performed

Starting Salary

Present or Last Salary

Reason for leaving

Employment History (Employer 2)

Employer

Name of Supervisor

Employer Address

Employer City

Phone

Employment Period

Type of Work Performed

Starting Salary

Present or Last Salary

Reason for leaving

Military Experience

Armed Forces Type

No Military Service

Army
Navy
Marines

Air Force
Coast Guard
National Guard

Dates of Service

Rank

If you served in the US Armed Forces, briefly describe the skills you acquired:

Additonal Information

Do you speak a language in addition to English

Yes
No

If yes, which languages

Are you legally authorized to work in the United States

Yes
No

Do you have a current valid drivers license

Yes
No

Note: Answering YES to the below questions does not automatically disqualify you for employment.

Have you ever pled "guilty" or "no contest" to a crime or been convicted of a crime?

Yes
No

If yes, give date and details

Have you ever been convicted of a DUI or DWI

Yes
No

If yes, Date

Employment Application Agreement

I certify that the answers given by me to the foregoing questions and statements are true and correct to the best of my knowledge without consequential omissions of any kind.

I agree that the Company shall not be held liable in any respect if my employment is rejected or subsequently terminated because of false statements, answers or omissions made by me in this application.

I understand that any misleading or incorrect statements may render this application void, and if employed, may lead to employment termination.

I understand that a medical examination based on the requirements of the position for which I am being considered may be required, and drug testing may be included as part of the regular pre-employment physical.

I also voluntarily and knowingly authorize the companies, schools or persons named above to give any information requested regarding my former employment, character and qualifications.

I hereby voluntarily and knowingly fully release and discharge, absolve, indemnify, and hold harmless said companies, schools or persons from any and all liability for any damages for issuing this information, except for the malicious and willful disclosure of derogatory facts concerning my employment made for the express purpose of preventing me from obtaining employment, which the party disclosing such facts knows to be untrue.

In consideration of my employment, I agree to conform to the rules and regulations of this organization. I understand that employment with Splash Car Wash is at-will, meaning that my employment and compensation can be terminated with or without cause and with or without notice, at any time, at the option of either my employer or myself. While employment policies or procedures may change from time to time, only a written agreement signed by the company's president can change the employee's at-will status.

Please choose your desired location for the Survey

About Splash Car Wash

What is the Word Verification Field?

Also known as a "Captcha", the word verification field ensures that content entered into our forms is conducted by real people.

Throughout the Internet, there are automated programs that seek out forms and automatically submit them with whatever content the programmers wish. This content is usually in the form of unsolicited advertisements.

In an effort to reduce this content that is submitted to us, we only ask that you enter the "Word Verification" that you see in the image that is provided.